ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2022-1-33-37ophthalmology-1767Research ArticleОБЗОРЫREVIEWSКонтракционный капсулярный синдром. Обзор. Часть 1Capsular Contraction Syndrome. Review. Part 1ИвановД. И.IvanovD. I.

Иванов Дмитрий Иванович, доктор медицинских наук, заведующий II хирургическим отделением, врач-офтальмохирург

ул. Академика Бардина, 4а, Екатеринбург, 620149

Ivanov Dmitry I., MD, Head of II Surgical Department, Ophthalmosurgeon

A. Bardina str.,. 4A, Ekaterinburg, 620149

НикитинВ. Н.NikitinV. N.

Никитин Владимир Николаевич, врач-офтальмохирург II хирургического отделения

ул. Академика Бардина, 4а, Екатеринбург, 620149

Nikitin Vladimir N., Ophthalmosurgeon of II Surgical Department

A. Bardina str.,. 4A, Ekaterinburg, 620149

Wladimir.dok@gmail.comАО «Екатеринбургский центр МНТК “Микрохирургия глaзa” им. академика С.Н. Федорова» Министерства здравоохранения Российской ФедерацииРоссияEye Microsurgery Ekaterinburg CenterRussian Federation2022060420221913337Copyright © Иванов Д.И., Никитин В.Н., 20222022Иванов Д.И., Никитин В.Н.Ivanov D.I., Nikitin V.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/1767

Прогрессирующий рост количества факоэмульсификаций в мире приводит к пропорциональному увеличению фиброзных изменений капсульного мешка в послеоперационном периоде, которые возникают даже в неосложненных случаях. Структурные изменения капсулы хрусталика вызывают развитие контракционного капсулярного синдрома (КСС), который встречается с частотой до 58,5 % в различные сроки после операции. Клинические проявления КСС могут быть разнообразны: от бессимптомного течения до серьезных функциональных и анатомических нарушений. В статье представлена обобщающая информация о предрасполагающих факторах, условиях и причинах возникновения КСС. Рассмотрена последовательность изменений хрусталиковых клеток, называемая эпителиально-мезенхимальной трансформацией, являющейся основой патогенеза ККС. Объяснены механизмы влияния материала и конструкции ИОЛ, размера и формы переднего капсулорексиса на развитие патологического процесса.

The progressive increase of the number of phacoemulsification in the world leads to a proportional increase in the number of fibrous changes of the capsular bag in the postoperative period. Changes of the capsular bag occur even in simple cases. Structural changes in the lens capsule cause the development of contractional capsular syndrome. It occurs in up to 58.5 % of cases at various times after surgery. Clinical manifestations of contractional syndrome can be diverse: from an asymptomatic course to serious functional and anatomical disorders. The article provides general information about predisposing factors, conditions and causes of capsular syndrome. The paper considers the sequence of changes in the lens cells named epithelial-mesenchymal transformation. Transformation is the basis of the capsular syndrome pathogenesis. The article reveals the mechanisms of influence of the material and design of the IOL, size and shape of anterior rhexis on the development of the pathological process.

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The authors declare that there are no conflicts of interest present.